The nurse's role in patient care after laparoscopic cholecystectomy using ICNP®. Case study

Damian Osiński, Klaudia Jakubowska, Anna Wiśniewska, Paweł Chruściel, Bernadeta Jędrzejkiewicz, Zuzanna Tulej, Dorota Nalepa, Michał Machul


INTRODUCTION. Cholelithiasis is a disease occurring very often and affects people of all ages, occurs in both young people as well as in the elderly. Due to such a high incidence of this disease every nurse should be able to identify nursing problems occurring in a patient before and after surgery to remove the gallbladder and be able to solve them.
PURPOSE. The aim of the study was to analyze the tasks of nurses and use of ICNP® in the care of the patient after laparoscopic cholecystectomy.
MATERIAL AND METHODS. In a study on 12.10.2018 r. And 11.12.2018 r. The method used was an individual case. Were used research techniques such as documentation analysis, interview, measurement, observation. Meetings were held in Lublin, the Independent Public Clinical Hospital No. 4. Person test was 58 - year-old woman after laparoscopic cholecystectomy. The study used research tools such as card individualized nursing care developed by the staff of the Faculty of Health Sciences, Medical University of Lublin, Barthel Index, Scale Norton, Fagerström test, according to test. Starzyńska, test by checking their knowledge about the disease and skills in preparation for self-care after leaving the hospital, criteria for the categories of care and VAS.
RESULTS. As a result of careful analysis of the health situation of the patient lists 11 negative diagnoses based on classifications ICNP. Also developed a plan of nursing care.
CONCLUSIONS.The patient after laparoscopic cholecystectomy requires medical care, nursing, rehabilitation, preventive education and for faster recovery and eliminate complications.


nursing care; patient; laparoscopic cholecystectomy.

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